Myndfull Care Management California Pc | |
8445 Camino Santa Fe Ste 215 San Diego CA 92121-2650 | |
(855) 839-8878 | |
Not Available |
Full Name | Myndfull Care Management California Pc |
---|---|
Speciality | Clinic/Center |
Location | 8445 Camino Santa Fe Ste 215, San Diego, California |
Authorized Official Name and Position | Teja Singh (OWNER) |
Authorized Official Contact | 7255021061 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Myndfull Care Management California Pc 8445 Camino Santa Fe Ste 215 San Diego CA 92121-2650 Ph: (855) 839-8878 | Myndfull Care Management California Pc 8445 Camino Santa Fe Ste 215 San Diego CA 92121-2650 Ph: (855) 839-8878 |
NPI Number | 1770206435 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Medicare PECOS PAC ID | 4981070893 |
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Medicare Enrollment ID | O20221018002310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770206435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Teja Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20060317000546 |
Provider Name | Laurie Eastwood Raher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629000104 PECOS PAC ID: 1759575525 Enrollment ID: I20101105000352 |
Provider Name | Lindsey M Swan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578712303 PECOS PAC ID: 5799841144 Enrollment ID: I20110914000615 |
Provider Name | Meesha Puri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215103098 PECOS PAC ID: 0840442570 Enrollment ID: I20121204000223 |
Provider Name | Maria P Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477739126 PECOS PAC ID: 1052552254 Enrollment ID: I20130731000409 |
Provider Name | Serena C Arts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801881552 PECOS PAC ID: 9638108830 Enrollment ID: I20140728002590 |
Provider Name | Manoj Saini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780082230 PECOS PAC ID: 2668792227 Enrollment ID: I20150521001234 |
Provider Name | Heather Grace Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427426386 PECOS PAC ID: 7012217789 Enrollment ID: I20151202000545 |
Provider Name | Gail Borbe Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306369483 PECOS PAC ID: 4082973995 Enrollment ID: I20180123002457 |
Provider Name | Dean Shehadeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942688429 PECOS PAC ID: 9830421536 Enrollment ID: I20191030001041 |
Provider Name | Maribel Marin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992341762 PECOS PAC ID: 8022439314 Enrollment ID: I20200521001698 |
Provider Name | Dawn E Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134747595 PECOS PAC ID: 5092139287 Enrollment ID: I20200721002543 |
Provider Name | Keena Nicole Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790334696 PECOS PAC ID: 1254747728 Enrollment ID: I20210308001627 |
Provider Name | Mabel Anti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104215631 PECOS PAC ID: 2163748013 Enrollment ID: I20210504001275 |
Provider Name | Thai My Ngoc Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982206876 PECOS PAC ID: 5496156333 Enrollment ID: I20210629002019 |
Provider Name | Theresa Timony |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689818015 PECOS PAC ID: 9739455023 Enrollment ID: I20210825002639 |
Provider Name | Shalaine E Reddic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598438699 PECOS PAC ID: 1759787088 Enrollment ID: I20210910002154 |
Provider Name | Lesley M Fung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518581917 PECOS PAC ID: 3274939475 Enrollment ID: I20210914002561 |
Provider Name | My Van Luu Thi Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764 |
Provider Name | Terry G Day |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023517711 PECOS PAC ID: 9436176484 Enrollment ID: I20211108001152 |
Provider Name | Katherine Barringer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255732228 PECOS PAC ID: 3072735125 Enrollment ID: I20211124001493 |
Provider Name | Madison Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336893254 PECOS PAC ID: 1658766050 Enrollment ID: I20220322001885 |
Provider Name | Elvie Victoria Mendoza Calderon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295462265 PECOS PAC ID: 9537542600 Enrollment ID: I20220823001312 |
Provider Name | Allison Breeann Leopold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720379647 PECOS PAC ID: 3870751696 Enrollment ID: I20221013001503 |
Provider Name | Oscar Brian Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396382206 PECOS PAC ID: 0446626345 Enrollment ID: I20221018001757 |
Provider Name | Bernadette Pua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114320652 PECOS PAC ID: 2062889082 Enrollment ID: I20221104000624 |
Provider Name | Katherine Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083335525 PECOS PAC ID: 1153799135 Enrollment ID: I20221122003478 |
Provider Name | Belen Anzaldo Wongk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639849284 PECOS PAC ID: 2264801810 Enrollment ID: I20221205000190 |
Provider Name | Cindy Florentino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497330294 PECOS PAC ID: 5698144061 Enrollment ID: I20221206002521 |
Provider Name | Ralaine Abdon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124699855 PECOS PAC ID: 8628447596 Enrollment ID: I20221215002048 |
Provider Name | Michelle Erazo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306556618 PECOS PAC ID: 8921478496 Enrollment ID: I20221227000525 |
Provider Name | Christine Mari Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790408045 PECOS PAC ID: 1355711540 Enrollment ID: I20230104002105 |
Provider Name | Praise Him Tinungki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255056834 PECOS PAC ID: 4183094147 Enrollment ID: I20230109000712 |
Provider Name | Tamara Selina Mcmillan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881391480 PECOS PAC ID: 2365815131 Enrollment ID: I20230224001999 |
Provider Name | Sharon Kepple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720460934 PECOS PAC ID: 0749653277 Enrollment ID: I20230303002323 |
Provider Name | Danica Flores Trinidad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275058448 PECOS PAC ID: 6204200637 Enrollment ID: I20230324002345 |
Provider Name | Maruska Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194261321 PECOS PAC ID: 1052785292 Enrollment ID: I20230329003154 |
Provider Name | Ranita Hahm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881058188 PECOS PAC ID: 3375909609 Enrollment ID: I20230511002382 |
Provider Name | Lauren Lowery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598492902 PECOS PAC ID: 5496111437 Enrollment ID: I20230518000200 |
Provider Name | Semira Semino-asaro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821769340 PECOS PAC ID: 7012377666 Enrollment ID: I20230714001752 |
Provider Name | Mariam C Ajmal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104585090 PECOS PAC ID: 7719349646 Enrollment ID: I20230809003012 |
Provider Name | Christopher Go |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083221568 PECOS PAC ID: 1052775095 Enrollment ID: I20230911000484 |
Provider Name | Pardeep Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083332076 PECOS PAC ID: 9537523444 Enrollment ID: I20230911004357 |
Provider Name | Pratibha Sehgal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700571114 PECOS PAC ID: 5294180659 Enrollment ID: I20231005000766 |
Provider Name | Macdaly Owens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912313602 PECOS PAC ID: 0749584084 Enrollment ID: I20231019001858 |
Provider Name | Tzu Wei Lin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568243848 PECOS PAC ID: 4880040781 Enrollment ID: I20231030001511 |
Provider Name | Brandon O'malley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952082646 PECOS PAC ID: 0648626481 Enrollment ID: I20231030003287 |
Provider Name | Bethania Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922620657 PECOS PAC ID: 3971970054 Enrollment ID: I20231107000594 |
Provider Name | Amanda Renee Layman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275308744 PECOS PAC ID: 6103274956 Enrollment ID: I20231205000229 |
Provider Name | Leslie Rangel Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346843653 PECOS PAC ID: 4183072945 Enrollment ID: I20231205000713 |
Provider Name | Derrick Fian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417734658 PECOS PAC ID: 8820449432 Enrollment ID: I20240108006246 |
Provider Name | Sunghui Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265210819 PECOS PAC ID: 0547611618 Enrollment ID: I20240112003185 |
Provider Name | Kaori Sawada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013785609 PECOS PAC ID: 9931551918 Enrollment ID: I20240115001773 |
Provider Name | Fei Wang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700535796 PECOS PAC ID: 0042662280 Enrollment ID: I20240123004050 |
Provider Name | Maian Ngo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174208110 PECOS PAC ID: 1052764198 Enrollment ID: I20240125001454 |
Provider Name | Taylor Connor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295413698 PECOS PAC ID: 2769835347 Enrollment ID: I20240131000096 |
Provider Name | Joshuah Hinojosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205603081 PECOS PAC ID: 0941653356 Enrollment ID: I20240201000093 |
Provider Name | Victoria Eisenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447025739 PECOS PAC ID: 6709239023 Enrollment ID: I20240201004203 |
Provider Name | Moorea Pugliese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972195386 PECOS PAC ID: 0840643128 Enrollment ID: I20240202001665 |
Provider Name | Oluwadamilola Aderibigbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063133387 PECOS PAC ID: 8224475793 Enrollment ID: I20240319003501 |
Provider Name | Jennifer Mia Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215787692 PECOS PAC ID: 0345688255 Enrollment ID: I20240410002221 |
Provider Name | Rome Diostonne Evangelista |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144902347 PECOS PAC ID: 2365881778 Enrollment ID: I20240418001576 |
Provider Name | Hospicio Escudero Naron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063030047 PECOS PAC ID: 4587003611 Enrollment ID: I20240422002256 |
Provider Name | Tejbir Kaur Bahia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659071280 PECOS PAC ID: 5395185037 Enrollment ID: I20240429003189 |
Provider Name | Davidson Okechukwu Etoamaihe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861258105 PECOS PAC ID: 6709226947 Enrollment ID: I20240503003160 |
Provider Name | Dailan Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033827993 PECOS PAC ID: 6608217740 Enrollment ID: I20240507003795 |
Provider Name | Sandy Ung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023863487 PECOS PAC ID: 8628410479 Enrollment ID: I20240523003806 |
Provider Name | Lovely Maye Del Campo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639928047 PECOS PAC ID: 8325580509 Enrollment ID: I20240603003009 |
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